Health in West Bengal
Hospitals and doctors, mortality and vaccination, nutrition and anaemia, disease burden, and who pays for care in West Bengal.
Infant mortality is below India's (17 vs 25 in 2023) and vaccination coverage is higher on every antigen. Maternal mortality is not: at 104 per 100,000 live births it has been above the national figure since 2017-19. Seven in ten women are anaemic, and 74 of 1,388 required specialist posts at rural health centres are filled.
Key figures & data tables
West Bengal’s infant mortality rate was 17 per 1,000 live births in 2023 (Sample Registration System), against 25 for India. The maternal mortality ratio was 104 per 100,000 live births in 2021-23, above India’s 88 and the SDG target of 70; West Bengal ranks #13 of 19 large states. In NFHS-5 (2019-21), 91.7% of births were in a health facility (India 88.6%) and 88.2% of children aged 12-23 months were fully vaccinated (India 76.6%).
The state had 1,510 government hospitals with 97,000 beds on 31 December 2022, 71,336 of them in urban areas. At rural Community Health Centres, 74 specialists were in post against 1,388 required (2023).
71.4% of women and 69% of children are anaemic (India 57% and 67.1%), and 33.8% of children under five are stunted (India 35.5%). Out-of-pocket spending was 58.3% of total health expenditure in 2021-22, against 39.4% for India.
The rows behind the charts above — 19 tables
›Government hospitals and beds, West Bengal vs India (31 December 2022)(6 rows)
Government hospitals of central, state and local bodies. Source: RBI Handbook of Statistics on Indian States 2024-25, Table 17 (National Health Profile).
| Measure | West Bengal | India |
|---|---|---|
| Hospitals, rural | 1,293 | 30,125 |
| Hospitals, urban | 217 | 6,501 |
| Hospitals, total | 1,510 | 36,626 |
| Beds, rural | 25,664 | 3,07,552 |
| Beds, urban | 71,336 | 5,32,903 |
| Beds, total | 97,000 | 8,40,455 |
›Specialists at rural Community Health Centres in West Bengal(6 rows)
Doctors at rural Primary Health Centres, and surgeons, obstetricians & gynaecologists, physicians and paediatricians at rural Community Health Centres, as of 31 March. Shortfall = required minus in position. Source: RBI Handbook of Statistics on Indian States 2024-25, Table 16 (Rural Health Statistics, MoHFW).
| Year (31 March) | Required | Sanctioned | In position | Vacant | Shortfall |
|---|---|---|---|---|---|
| 2005 | 380 | 310 | 133 | 177 | 247 |
| 2015 | 1,388 | 1,792 | 114 | 1,678 | 1,274 |
| 2020 | 1,392 | 1,422 | 641 | 781 | 751 |
| 2021 | 1,392 | 328 | 67 | 261 | 1,325 |
| 2022 | 1,392 | 289 | 97 | 192 | 1,295 |
| 2023 | 1,388 | 98 | 74 | 24 | 1,314 |
›Doctors at rural Primary Health Centres in West Bengal(6 rows)
Source: RBI Handbook of Statistics on Indian States 2024-25, Table 16 (Rural Health Statistics, MoHFW).
| Year (31 March) | Required | Sanctioned | In position | Vacant |
|---|---|---|---|---|
| 2005 | 1,173 | 1,560 | 1,319 | 241 |
| 2015 | 909 | 2,600 | 723 | 1,877 |
| 2020 | 913 | 1,390 | 1,098 | 292 |
| 2021 | 915 | 1,533 | 955 | 578 |
| 2022 | 915 | 1,538 | 975 | 563 |
| 2023 | 910 | 1,405 | 1,247 | 158 |
›West Bengal infant mortality rate (IMR) vs India, by year(14 rows)
Infant deaths per 1,000 live births. Source: Sample Registration System, via RBI Handbook of Statistics on Indian States 2024-25, Table 4.
| Year | West Bengal | India |
|---|---|---|
| 2010 | 31 | 47 |
| 2011 | 32 | 44 |
| 2012 | 32 | 42 |
| 2013 | 31 | 40 |
| 2014 | 28 | 39 |
| 2015 | 26 | 37 |
| 2016 | 25 | 34 |
| 2017 | 24 | 33 |
| 2018 | 22 | 32 |
| 2019 | 20 | 30 |
| 2020 | 19 | 28 |
| 2021 | 18 | 27 |
| 2022 | 17 | 26 |
| 2023 | 17 | 25 |
›West Bengal maternal mortality ratio (MMR) vs India(14 rows)
Maternal deaths per 100,000 live births. Source: Sample Registration System, via RBI Handbook of Statistics on Indian States 2024-25, Table 5.
| Period | West Bengal | India |
|---|---|---|
| 1999-01 | 218 | 327 |
| 2001-03 | 194 | 301 |
| 2004-06 | 141 | 254 |
| 2007-09 | 145 | 212 |
| 2010-12 | 117 | 178 |
| 2011-13 | 113 | 167 |
| 2014-16 | 101 | 130 |
| 2015-17 | 94 | 122 |
| 2016-18 | 98 | 113 |
| 2017-19 | 109 | 103 |
| 2018-20 | 103 | 97 |
| 2019-21 | 109 | 93 |
| 2020-22 | 105 | 88 |
| 2021-23 | 104 | 88 |
›Child vaccination coverage in West Bengal vs India, by antigen(5 rows)
Children age 12-23 months, vaccinated at any time before the survey (card or mother’s report). DPT3 = Penta or DPT dose 3. Source: NFHS-5 (2019-21) India Report, IIPS, Table 9.5.
| Vaccine | West Bengal (%) | India (%) |
|---|---|---|
| BCG | 98.6 | 95.2 |
| DPT3 | 95.3 | 87 |
| Polio3 | 90.8 | 80.5 |
| Measles (MCV) | 94.4 | 87.9 |
| Fully vaccinated | 88.2 | 76.6 |
›NFHS-5 nutrition indicators, West Bengal vs India(6 rows)
Source: NFHS-5 (2019-21) India Report, IIPS (state tables).
| Indicator | West Bengal (%) | India (%) | NFHS-5 table |
|---|---|---|---|
| Children under 5 stunted | 33.8 | 35.5 | Table 10.2 |
| Children under 5 wasted | 20.3 | 19.3 | Table 10.2 |
| Children under 5 underweight | 32.2 | 32.1 | Table 10.2 |
| Children under 5 overweight | 4.3 | 3.4 | Table 10.2 |
| Women 15-49 thin (BMI < 18.5) | 14.8 | 18.7 | Table 10.20.1 |
| Men 15-49 thin (BMI < 18.5) | 15.1 | 16.2 | Table 10.20.2 |
›NFHS-5 child mortality, fertility and marriage indicators, West Bengal vs India(6 rows)
Source: NFHS-5 (2019-21) India Report, IIPS (state tables).
| Indicator | West Bengal | India | NFHS-5 table |
|---|---|---|---|
| Neonatal mortality (per 1,000 live births) | 15.5 | 24.9 | Table 7.4 |
| Infant mortality (per 1,000 live births) | 22 | 35.2 | Table 7.4 |
| Under-five mortality (per 1,000 live births) | 25.3 | 41.9 | Table 7.4 |
| Total fertility rate (children per woman) | 1.64 | 1.99 | Table 4.3 |
| Women 18-29 first married by age 18 (%) | 42.3 | 24.7 | Table 6.4 |
| Women 15-19 who have begun childbearing (%) | 16.4 | 6.8 | Table 4.11 |
›Anaemia in West Bengal vs India (NFHS-5)(3 rows)
Source: NFHS-5 (2019-21) India Report, IIPS, Tables 10.13 and 10.24.
| Group | West Bengal (%) | India (%) |
|---|---|---|
| Women 15-49 | 71.4 | 57 |
| Children 6-59 months | 69 | 67.1 |
| Men 15-49 | 39 | 25.1 |
›Dengue cases and deaths in West Bengal, by year(3 rows)
Source: NCVBDC (MoHFW) state-wise dengue table. West Bengal reported 441 dengue cases to NCVBDC for 2024 and nothing for 2025 (provisional), so those years are not shown.
| Year | Cases | Deaths |
|---|---|---|
| 2021 | 8,264 | 7 |
| 2022 | 67,271 | 30 |
| 2023 | 30,683 | 4 |
›Malaria cases and deaths in West Bengal(1 rows)
Source: NCVBDC Malaria Annual Report 2023.
| Year | Cases | Deaths |
|---|---|---|
| 2023 | 26,493 | 2 |
›Public health facilities in West Bengal by tier, with shortfall(9 rows)
NHSRC Health Dossier — West Bengal (2021) (RHS 2019-20 / NHP 2020 (tabulated in NHSRC Health Dossier 2021, published Jan 2022)). AB-HWC = Ayushman Bharat Health & Wellness Centres: 5,260 functional on 22 Dec 2021 against a cumulative target of 9,951 by FY 2022-23 (a target, not a population norm). SC/PHC/CHC shortfall is against population-based norms in Rural Health Statistics 2019-20.
| Facility tier | Level | Functional | Required (norm) | Target | Shortfall (%) |
|---|---|---|---|---|---|
| Sub-Centre | Peripheral | 10,357 | 13,225 | 21.69 | |
| Primary Health Centre | Primary | 913 | 2,176 | 58.04 | |
| Community Health Centre | Primary | 348 | 544 | 36.03 | |
| Urban PHC | Primary | 456 | 697 | 34.58 | |
| Sub-Divisional Hospital | Secondary | 60 | |||
| District Hospital | Secondary | 18 | |||
| Medical College (Govt) | Tertiary | 19 | |||
| Medical College (Private) | Tertiary | 6 | |||
| AB-HWC functional | Primary | 5,260 | 9,951 |
›Disease burden by category — share of DALYs, West Bengal vs India(3 rows)
India State-Level Disease Burden Initiative (ICMR + PHFI + IHME), via NHSRC Health Dossier 2021 (GBD 2019 (categories) + GBD 2021 (stroke trend)).
| Category | West Bengal (% DALYs) | India (% DALYs) |
|---|---|---|
| Non-communicable diseases | 66.02 | 61.43 |
| Communicable / maternal / neonatal | 22.59 | 27.46 |
| Injuries | 11.39 | 11.11 |
›Leading causes of disease burden and communicable causes of death in West Bengal(2 rows)
India State-Level Disease Burden Initiative (ICMR + PHFI + IHME), via NHSRC Health Dossier 2021 (GBD 2019). The two lists are not ranked against each other.
| List | Causes |
|---|---|
| Largest causes of DALYs | Ischaemic heart disease; Intracerebral haemorrhage (stroke); COPD |
| Main communicable causes of death | Diarrhoeal diseases; Lower respiratory infections; Drug-susceptible TB |
›Stroke incidence and DALY rate in West Bengal, 1990 and 2021(2 rows)
Per 100,000 population. Source: Peer-reviewed analysis of GBD 2021 data (Scientific Reports, 2024); not a government table.
| Year | Incidence per 100,000 | DALYs per 100,000 |
|---|---|---|
| 1990 | 105 | 2,308 |
| 2021 | 148 | 3,028 |
›Health service utilisation, West Bengal vs India(3 rows)
NHSRC Health Dossier — West Bengal (2021) (HMIS 2019-20 and NSS 75th round 2017-18).
| Indicator | West Bengal | India | Unit |
|---|---|---|---|
| OPD visits per 1,000 population | 1,359.03 | 1,337.1 | events |
| IPD admissions per 1,000 population | 70 | 62.6 | events |
| Major surgeries per 10,000 population | 37.05 | 36.4 | events |
›Share of care sought at public facilities, West Bengal vs India(4 rows)
Source: NSS 75th Round (2017-18), via NHSRC Health Dossier 2021.
| Type of care | West Bengal (%) | India (%) |
|---|---|---|
| OPD rural (public share) | 33 | 33 |
| OPD urban (public share) | 22 | 26 |
| IPD rural (public share) | 74 | 46 |
| IPD urban (public share) | 59 | 35 |
›Out-of-pocket health expenditure share, West Bengal vs India(2 rows)
Source: National Health Accounts 2021-22 (NHSRC); 2017-18 via NHSRC Health Dossier 2021.
| Year | West Bengal (%) | India (%) |
|---|---|---|
| 2017-18 | 69.8 | 48.8 |
| 2021-22 | 58.3 | 39.4 |
›Neonatal and post-neonatal mortality, West Bengal vs India(5 rows)
Registrar General of India, SRS Statistical Report 2021, Statements 47-49. All rates are SRS three-year averages for 2019-21. Late neonatal = neonatal minus early neonatal; post-neonatal = infant minus neonatal. 74.5% of West Bengal's infant deaths occur in the first 28 days, against 71.9% for India. Rates per 1,000 live births.
| Measure | WB total | WB rural | WB urban | India total |
|---|---|---|---|---|
| Infant mortality | 18.9 | 19.4 | 17.3 | 28.4 |
| Neonatal (0-28 days) | 13 | 14 | 12 | 19 |
| Early neonatal (0-6 days) | 10 | 10 | 9 | 14 |
| Late neonatal (7-28 days) | 3 | 4 | 3 | 5 |
| Post-neonatal (29 days-1 year) | 5.9 | 5.4 | 5.3 | 9.4 |